Open AccessNovel anaesthetic approach for surgical access and haemodynamic management during off-pump coronary artery bypass through a left thoracotomy
Author(s) -
Madan Mohan Maddali,
Abdullah Al-Jadidi,
Sunny Zacharias
Publication year - 2012
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.93351
Subject(s) - medicine , thoracotomy , off pump coronary artery bypass , artery , cardiology , revascularization , catheter , myocardial revascularization , hemodynamics , surgery , bypass grafting , anesthesia , myocardial infarction
For myocardial revascularization on a beating heart through a thoracotomy, a properly deployed endobronchial blocker (EBB) provides ideal conditions for surgical access. In addition, adequate volume replacement to achieve optimal cardiac performance is a primary goal of haemodynamic management in patients undergoing off-pump coronary artery bypass grafting. To achieve both these ends, this case report describes the combined use of a left-sided EBB along with a volumetric pulmonary artery catheter in a patient who underwent a successful off-pump coronary artery bypass surgery through an anterolateral thoracotomy.